A cognitive behavioral perspective on corrective experiences.
A cognitive behavioral perspective on corrective experiences.
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关于纠正经历的认知行为视角。
DOI：
10.1037/13747-005
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发表时间：
2012
期刊：
影响因子：
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通讯作者：
Carly W Yasinski
中科院分区：
文献类型：
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作者：
Adele M. Hayes;J. Beck;Carly W Yasinski
矫正经验的概念有着悠久的历史，在心理治疗的改变理论中占有重要地位。这一概念源于精神分析和心理动力学传统。早在1946年，亚历山大和弗伦奇就将矫正性情绪体验概念化为一种共同的治疗原则：在所有形式的病因学心理治疗中，基本的治疗原则都是相同的：在更有利的环境下，让来访者重新接触他过去无法处理的情绪情境。为了得到帮助，来访者必须经历一次矫正性的情感体验，以修复以前经历的创伤性影响。这种矫正体验是发生在移情关系中的治疗过程中，还是与来访者日常生活中的治疗同时发生，这是次要的。(p.[66]在后来的学习理论背景下的CE讨论中，亚历山大（1963/2004）将这些经验描述为涉及习惯性适应不良模式的破坏和新模式的发展。在这种情况下，最初的负面体验被激活，进入客户的意识，治疗师的反应与客户基于他或她的历史所期望的不同。亚历山大强调了重复的重要性，这样新的反应就可以变得更加自动和巩固。这些对CE的描述表明，它们是经验性的，充满情感，涉及意义的转变，需要重复以巩固新的回应模式。正如Goldfried和Davila（2005年）以及Grosse Holtforth等人所强调的那样。（2007），CE描述了超越理论导向的治疗变化原则。亚历山大和弗伦奇（French，1946）的早期思想来自精神分析传统，但他们在解释CE时所描述的原则听起来与现代暴露和基于学习的干预的基础原则惊人地相似。我们提出了一个认知行为的角度对CE和说明，虽然语言和治疗技术不同，CE的概念似乎中央的变化过程中的两个方向。（PsycInfo数据库记录（c）2024阿帕，保留所有权利）
The concept of corrective experiences (CEs) has a long history and an important place in theories of change in psychotherapy. This concept has its roots in psychoanalytic and psychodynamic traditions. As early as 1946, Alexander and French conceptualized the corrective emotional experience as a common therapeutic principle: In all forms of etiological psychotherapy, the basic therapeutic principle is the same: to reexpose the client, under more favourable circumstances, to emotional situations which he could not handle in the past. The client, in order to be helped, must undergo a corrective emotional experience suitable to repair the traumatic influence of previous experiences. It is of secondary importance whether this corrective experience takes place during treatment in the transference relationship or parallel with the treatment in the daily life of the client.(p. 66) In a later discussion of CEs in the context of learning theory, Alexander (1963/2004) described these experiences as involving the disruption of habitual maladaptive patterns and the development of new patterns. In this account, the original negative experience is activated, brought into the client’s awareness, and the therapist’s response is different from what the client expects based on his or her history. Alexander emphasized the importance of repetition so that the new reaction can become more automatic and consolidated. These descriptions of CEs suggest that they are experiential and affectively charged, involve a shift in meaning, and require repetition to solidify the new patterns of responding. As highlighted by Goldfried and Davila (2005) and Grosse Holtforth et al.(2007), the CE describes a principle of therapeutic change that transcends theoretical orientation. Alexander and French’s (1946) early ideas come from a psychoanalytic tradition, yet the principles described in their account of CEs sound strikingly similar to principles that underlie modern exposure and learning-based interventions. We present a cognitive behavioral perspective on CEs and illustrate that although the language and therapeutic techniques differ, the concept of the CE seems central to the process of change in both orientations.(PsycInfo Database Record (c) 2024 APA, all rights reserved)